Effects of Intrathecal Bupivacaine with Adjuvants Midazolam versus Magnesium Sulphate in Tibia Fibula Surgeries: A Randomised Clinical Study by Tejash H Sharma, Jagrati Jain, Aanal Sha, Dushyant Chavda, Dinesh K Chauhan

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Comparison of intravenous dexmedetomidine versus ketamine–dexmedetomidine combination on spinal block characteristics in patients undergoing lower limb orthopaedic surgery – A randomised clinical trial by Annapureddy Sai Krishna, Jyotsna Agarwal, Samiksha Khanuja, Sandeep Kumar, Adam Khan, Khairat Mohammad Butt

“…This study was designed to compare the effects of intravenous dexmedetomidine versus low-dose ketamine–dexmedetomidine combination infusion on spinal anaesthesia in lower limb orthopaedic surgeries. Methods: This randomised study was conducted in 60 patients scheduled for unilateral lower limb surgeries under spinal anaesthesia. …”
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Mixed methods evaluation of the Getting it Right First Time programme in elective orthopaedic surgery in England: an analysis from the National Joint Registry and Hospital Episode Statistics by Stephen Morris, James Mason, Rosalind Raine, Peter Martin, Naomi J Fulop, Elena Pizzo, Andrew Hutchings, Helen Barratt, Jean Ledger, Raj Mehta, Sarah Jasim, Fiona Aspinal, Rafael Gafoor

“…Objective To evaluate the impact of the ‘Getting it Right First Time’ (GIRFT) national improvement programme in orthopaedics, which started in 2012.Design Mixed-methods study comprising statistical analysis of linked national datasets (National Joint Registry; Hospital Episode Statistics; Patient-Reported Outcomes); economic analysis and qualitative case studies in six National Health Service (NHS) Trusts.Setting NHS elective orthopaedic surgery in England.Participants 736 088 patients who underwent primary hip or knee replacement at 126 NHS Trusts between 1 April 2009 and 31 March 2018, plus 50 NHS staff.Intervention Improvement bundle including ‘deep dive’ visits by senior clinician to NHS Trusts, informed by bespoke set of routine performance data, to discuss how improvements could be made locally.Main outcome measures Number of procedures conducted by low volume surgeons; use of uncemented hip implants in patients >65; arthroscopy in year prior to knee replacement; hospital length of stay; emergency readmissions within 30 days; revision surgery within 1 year; health-related quality of life and functional status.Results National trends demonstrated substantial improvements beginning prior to GIRFT. …”
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Effect of Different Doses of Intrathecal Nalbuphine as Adjuvant to Hyperbaric Bupivacaine on Characteristics of Subarachnoid Block in Pelvic and Lower Limb Orthopaedic Surgeries: A Randomised Clinical Study by Anupama Kumari, Shraddha Jogani, Nilesh Shah, Sara Mary Thomas

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Effectiveness of negative pressure wound therapy in treating deep surgical site infections after spine surgery: a meta-analysis of single-arm studies by Shiwei Ren, Huan Liu, Zhengqi Chang

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Efficacy of 5 µg and 10 µg Dexmedetomidine as Adjuvants to 3 mL 0.5% Hyperbaric Bupivacaine in Pelvic and Lower Limb Orthopaedic Surgeries: A Randomised Clinical Study by Jigisha Bharatbhai Mehta, Shreya Jatin Patel, Nilesh Vrajmohan Shah, Dinesh K Chauhan, Sara Mary Thomas

“…For lower limb orthopaedic surgeries, to provide sufficient anaesthesia and prolong postoperative analgesia in a less cumbersome way, author can add potent adjuvants like dexmedetomidine (an alpha-2 adrenergic receptor agonist) in effective and safer doses intrathecally. …”
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The correlation between trainee gender and operative autonomy during trauma and orthopaedic training in Ireland and the UK by Rosie Mc Colgan, Fiona Boland, Gerard A. Sheridan, Grainne Colgan, Deepa Bose, Deborah M. Eastwood, David M. Dalton

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Unicompartmental knee arthroplasty: an exemplar of surgical and engineering collaboration by Richie H. S. Gill, Fares S. Haddad

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Qualitative methods: the missing link in orthopaedic research by Samantha Jones, Sarah Tyson

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Improved Function After Anterior Controllable Antedisplacement and Fusion for Cervical Ossification of Posterior Longitudinal Ligament: A Long‐Term Follow‐Up by Yangyang Shi, Kaiqiang Sun, Linhui Han, Chen Yan, Jinyu Wang, Jingyun Yang, Yuan Wang, Ximing Xu, Jingchuan Sun, Jiangang Shi

“…Orthopaedic Surgery…”
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Biomechanical Analysis and Solution Suggestions of Screw Replacement Scenarios in Femoral Neck Fracture Surgeries: Finite Element Method by Yılmaz Güvercin, Murat Yaylacı, Ayberk Dizdar, Mehmet Emin Özdemir, Sevil Ay, Ecren Uzun Yaylacı, Umitcan Karahasanoğlu, Hüseyin Uygun, Gökhan Peker

“…Orthopaedic Surgery…”
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Jack Surgery: Reconstructing Collapsed Femoral Head in Association Research Circulation Osseous Stage III Osteonecrosis: A Series of 13 Cases by Ying Zhong, Yichen Gong, Shuaijie Lv, Wenxi Du, Xun Liu, Jianhua Zhang, Peijian Tong

“…Orthopaedic Surgery…”
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Over‐The‐Top Technique for ACL Reconstruction: Advantages, Disadvantages, and Postoperative Complications by Haocheng Du, Lin Li, Ziwen Qin, Jiang Guo, Xintao Zhang

“…Orthopaedic Surgery…”
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Sagittal Inclination Angle of the Graft Affects Graft Maturity and Knee Stability After Anterior Cruciate Ligament Reconstruction by Ming Li, Fangang Meng, Dianbo Long, Dorje Wencheng, Yanlin Zhong, Yan Kang, Peihui Wu, Aishan He

“…Orthopaedic Surgery…”
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Learning Curve of Uniportal Compared With Biportal Endoscopic Techniques for the Treatment of Lumbar Disc Herniation by Yuquan Liu, Xiang Li, Haining Tan, Xinyi Hao, Bin Zhu, Yong Yang, Lingjia Yu

“…Orthopaedic Surgery…”
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Biomechanical Characteristics of First Coronal Reverse Vertebrae in Lenke Type V Adolescent Idiopathic Scoliosis: A Study Using Finite Element Analysis by Zhenguo Shang, Zhiyong Hou, Wei Chen, Hengrui Chang, Jiaxin Xu, Di Zhang, Hui Wang

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Biomechanical Evaluation of Clival Screw Fixation for Occipitocervical Instablity: A Finite Element Analysis by Weipeng Lin, Jianying Zheng, Meichao Zhang, Panjie Xu, Hang Xiao, Wei Ji

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Cauda Equina Syndrome Without Perineal Sensory Changes or Lower Extremity Neurological Deficits Following Postoperative Spinal Epidural Hematoma: A Case Report and Literature Revie... by Guanyi Liu, Qing Li, Hongfeng Ruan, Bingke Zhu, Weihu Ma, Yong Hu

“…Orthopaedic Surgery…”
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Enhanced Biomechanical Stability in Proximal Humeral Fractures: Finite Element Analysis of a Novel Endosteal Anatomical Support Nail for Improved Fixation in Elderly Patients by Jiawen Chen, Zhonghe Wang, Changda Li, Peiyu He, Zhongxuan Chen, Lijun Sun, Xiaoyan Cao, Na Tian, Xiang Dong, Peifu Tang, Hua Chen

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Anterior Controllable Antedisplacement and Fusion (ACAF) for Cervical Stenosis Patients With Hyperextension Injury: A Retrospective Study by Shuangxi Sun, Yingying Miao, Tao Xu, Kaiqiang Sun, Yijuan Lu, Jingchuan Sun, Jiuyi Sun, Jiangang Shi

“…Orthopaedic Surgery…”
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